Diagnosis and treatment of small-size benign prostatic hyperplasia (Report with 45 cases)
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摘要: 提高小体积前列腺增生（SBPH）膀胱出口梗阻（BOO）的诊断和治疗水平。探讨经尿道前列腺电切术（TURP）加膀胱颈电切术（TURBN）治疗小体积前列腺增生的疗效。方法：总结经尿道手术治疗SBPH 45例的临床资料，12例单纯行TURP，33例行TURP+TURBN。术后随访1~2年，并对结果进行回顾性小结。结果：单纯TURP组术后有4例并发膀胱颈挛缩，TURP+TURBN组未发生膀胱颈挛缩；且术后IPSS、Qmax、PVR明显优于前者）。结论：SBPH膀胱出口梗阻可通过IPSS，DRE、TRUS、PSA、尿动力学检查、膀胱尿道镜检查确立诊断；经尿道手术治疗SBPH，TURP+TURBN比单纯TURP疗效更确切，可作为首选术式。Abstract: Objective: To improve the diagnosis and treatment on small-size benign prostatic hyperplasia(SBPH) combined with bladder outlet obstruction (BOO) and analyze the clinical effect of transurethral resection of the prostate(TURP) plus transurethral resection of bladder neck(TURBN) for SBPH.Methods: Clinical data of 45 cases of SBPH underwent transurethral operation were retrospectively analyzed,of which 12 cases underwent solely TURP,33 cases underwent TURP plus TURBN,all patients were followed up in 1-2 year duration.Results: 4 cases of bladder neck contracture occurred post-operatively in TURP group while as bladder neck contracture was absent in TURP plus TURBN group,furthermore,the clinical effect indicated in TURP plus TURBN group is better than that in TURP group in terms of international prostate symptom score(IPSS),maximum flow rate(Qmax) and postvoid residual volume(PVR).Conclusions: SBPH combined with BOO can be determined through IPSS,digital rectal examination(DRE),transrectal ultrasonography(TRUS),prostate-specific antigen(PSA),urodynamics and urethrocystoscopy.The clinical effect of TURP plus TURBN is better than TURP,as a result,TURP plus TURBN is preferred for SBPH.
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